Organization
VICTORYBRIDGE HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA AGBONMA ODOCHA PMHNP (DIRECTOR)
(202) 413-2078
Entity
Organization
Contact information
Practice address
1720 E 32ND ST, SILVER CITY, NM 88061-8304
(202) 413-2078
Mailing address
1914 ROSEBAY CT, SUGAR LAND, TX 77479-4037
(202) 413-2078
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
03/16/2025
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